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Advanced GeoEnvi>ronwen#al,Inc. -advgeoenv.com CHAIN OF CUSTODY RECORD <br /> rA 837 Shaw Road,Stockton,California 95215 •Phone(209)467-1006 •Fax(209)467-1118 Date: 22 Page 3 of-4-1 <br /> 7.381'Thor Place,Brea,California 92821 *Phone(71.4)529-0290•Fax(71.4)529-0203 +0 7-i sT, <br /> MOD <br /> 2318 Fourth Street,Santa Rosa,California 95404 .Phone(70.7)570-I418 •Fax(707)570-1461 <br /> An Required <br /> F1 395 Del Monte Center,#111,Monterey,Califamia.93940 •Phone(800)511-9300 *Fax(83))394-5974 <br /> u <br /> n a <br /> Project Name Project Manager <br /> r 5 ; a E. Y <br /> Client Sampler fmitifpi&signature) <br /> Iuvolx to: ACE ❑Client Lab Na: <br /> 'r <br /> Sample ID![Ax2don/Descriptiou Data. Time Matrtx Number Notes R� Y <br /> 13/6- 5 9 x 109 IV16 . S 1 X <br /> ,Sl1- <br /> 2-15* 27 Ix <br /> 511- 5 W22 LP I 0fro2 S Abt D <br /> 2- 2,S 9 z 0 sl4 S X X <br /> 12- f W2 0 7 6715- S t OLS <br /> I - 2,S CILIUM 68y S l X X ?< <br /> 5 z10A g y S ADL <br /> i 09 04,03 3 t LT) <br /> 0`I2y I S I <br /> Itelffiq4W,ed by. tate: Time: Labor tory: <br /> Courier Received by: Date: Time: <br /> V1 � <br /> Relinquished by. Data: Time. Received by Date: Time: <br /> FtebnquisW by; laic: Time: Reetdved by: J Ian. Time: <br /> r . <br /> Requested Two AmwW Time(circle): 24 hens 48 home 72 bouts ys( Other. Matrix Coda: A-Air W=Water S=Solid <br /> SpocW lnstrwtions to lab: t hereby authtn ize the performance of the above indicated work <br /> Tm-ma P 7YN-hydraulic fluid': carbon Chan atnaiysis W15PCifi-G 1dMhk<AX40n of 1noar o l.t and <br /> er EDF to:13 geturwkerWvgeocavxw ❑ GiObal 1D: <br />